| NPI | 1346692480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: WA AP60653184) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60217127) |
| Enumeration Date | 2016-07-12 |
| Last Update Date | 2021-07-13 |